<%@ page language="java" contentType="text/html; charset=UTF-8"
    pageEncoding="UTF-8"%>
<!DOCTYPE html>
<html>
<head>
<meta charset="UTF-8">
 <meta name="renderer" content="webkit">
  <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
  <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1">
  <link rel="stylesheet" href="${pageContext.request.contextPath}/static/layui/css/layui.css">
  <script src="${pageContext.request.contextPath}/static/layui/layui.js"></script>
<title></title>
</head>
<body>
<form class="layui-form" id=""  lay-filter="qurey" >
<fieldset class="layui-elem-field layui-field-title" style="margin-top: 20px;">
  <legend>患者基本信息</legend>
</fieldset>
<div class="layui-form-item">
<div class="layui-inline">
    <label class="layui-form-label">患者编号</label>
    <div class="layui-input-block">
      <input type="text" name="personid" id="personid" lay-verify="title" placeholder="请输入患者编号"  class="layui-input" >
    </div>
  </div>
  
  <div class="layui-inline">
      <button type="button" class="layui-btn layui-btn-warm" id="find" >查询</button>
  </div>
</div>

<div class="layui-form-item">
 <div class="layui-inline">
    <label class="layui-form-label">患者编号</label>
    <div class="layui-input-block">
      <input type="text" id="personid1" name="personid1" lay-verify="title"  class="layui-input" readonly="readonly">
    </div>
  </div>
  
   <div class="layui-inline">
    <label class="layui-form-label">患者姓名</label>
    <div class="layui-input-block">
      <input type="text" name="personname" lay-verify="title" class="layui-input" readonly="readonly">
    </div>
  </div>
  
   <div class="layui-inline">
    <label class="layui-form-label">患者年龄</label>
    <div class="layui-input-block">
      <input type="text" name="age" lay-verify="title"   class="layui-input" readonly="readonly">
    </div>
  </div>
  
   <div class="layui-inline">
    <label class="layui-form-label">挂号等级</label>
    <div class="layui-input-block">
      <input type="text" name="reglevel.levelid"  lay-verify="title"  class="layui-input" readonly="readonly">
    </div>
  </div>
  </div>
  
<div class="layui-form-item">
 <div class="layui-inline">
    <label class="layui-form-label">就诊状态</label>
    <div class="layui-input-block">
      <input type="text" name="seeingstate" lay-verify="title"  class="layui-input" readonly="readonly">
    </div>
  </div>
  
   <div class="layui-inline">
    <label class="layui-form-label">挂号状态</label>
    <div class="layui-input-block">
      <input type="text" name="regstate" id="regstate" lay-verify="title" class="layui-input" readonly="readonly">
    </div>
  </div>
  
   <div class="layui-inline">
    <label class="layui-form-label">挂号医生</label>
    <div class="layui-input-block">
      <input type="text" name="doctor.doctorname" lay-verify="title"   class="layui-input" readonly="readonly">
    </div>
  </div>
  
   <div class="layui-inline">
    <label class="layui-form-label">挂号金额</label>
    <div class="layui-input-block">
      <input type="text" name="money"  lay-verify="title"  class="layui-input" readonly="readonly">
    </div>
  </div>
  </div>
</form>
<form class="layui-form" id="project"  lay-filter="chectproject" >
<fieldset class="layui-elem-field layui-field-title" style="margin-top: 20px;">
  <legend>检查申请</legend>
</fieldset>
<div class="layui-form-item">
  <label class="layui-form-label">选择项目</label>
	<div class="layui-input-inline">
      <select name="checkproject" id="checkproject" lay-filter="checkone">
      </select>
    </div>
   </div>
   <div class="layui-form-item">
   <div class="layui-inline">
    <label class="layui-form-label">项目编号</label>
    <div class="layui-input-block">
      <input type="text" id="projectid" name="projectid" lay-verify="title"  class="layui-input" readonly="readonly">
    </div>
  </div>
  <div class="layui-inline">
    <label class="layui-form-label">项目名称</label>
    <div class="layui-input-block">
      <input type="text" name="projectname" lay-verify="title"  class="layui-input" readonly="readonly">
    </div>
  </div>
  <div class="layui-inline">
    <label class="layui-form-label">项目单价</label>
    <div class="layui-input-block">
      <input type="text" name="projectprice" id="price" lay-verify="title"  class="layui-input" readonly="readonly">
    </div>
  </div>
   </div>
   <div class="layui-form-item">
   <div class="layui-inline">
    <label class="layui-form-label">申请数量</label>
    <div class="layui-input-block">
      <input type="text" id="num" name="number" lay-verify="title"  class="layui-input">
    </div>
  </div>
  <div class="layui-inline">
    <label class="layui-form-label">项目总价</label>
    <div class="layui-input-block">
      <input type="text" name="summoney" id="sum" lay-verify="title"  class="layui-input" readonly="readonly">
    </div>
  </div>
     
  <div class="layui-inline">
   <div class="layui-input-block">
      <button type="button" class="layui-btn layui-btn-warm" id="shenqing" >申请提交</button>
 	</div>
  </div>
   </div>
</form>
<fieldset class="layui-elem-field layui-field-title" style="margin-top: 20px;">
  <legend>已申请项目</legend>
</fieldset>
<table class="layui-hide" id="checkapp" lay-filter="checktable"></table>
<!-- 工具栏 -->
<script type="text/html" id="delDemo">
  <a class="layui-btn layui-btn-danger layui-btn-xs" lay-event="del">删除</a>
</script>
<script src="${pageContext.request.contextPath}/static/js/checkApp.js"></script>
</body>
</html>